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Contact Information

LOREN D BALDUS, DMD
#9 MT. EPHRAIM ROAD
SEARSPORT, ME04974-0327
 Phone: 207-548-6161
 Fax: 207-548-2132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LOREN D BALDUS · (Male)

NPI Number 1750453288
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/13/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 2528
  • ME Medicaid 132300000
  • ME Other 2528 ME LICENSE #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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